Individual
MARIA P KLARITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1188 ROYAL GLEN DR., 315, GLEN ELLYN, IL 60137
(630) 205-5206
Mailing address
1188 ROYAL GLEN DR APT 315, GLEN ELLYN, IL 60137-6032
(630) 205-5206
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
IL
246ZS0410X
Surgical Technologist
238000205
IL
Other
Enumeration date
03/26/2008
Last updated
12/15/2014
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